Concord Sports Center

Fall Baseball Registration

Player Information

PLEASE PRINT ALL INFORMATION

Players Name: ______DOB: ______Age: _____

Fathers Name: ______Mothers Name:______

Address: Street: ______City: ______State:______Zip: ______

Home Phone: ______E-mail: ______

Cell: Dad______Mom______2nd E-mail: ______

2 Whitney Road, Concord NH 03301

(603) 224-1655

www.concordsportscenter.com

RELEASE OF LIABILITY, WAIVER OF CLAIMS

AND ASSUMPTION OF RISK AGREEMENT

Release and Waiver of Claims

In consideration of being allowed to participate at the Facility known as Concord Sports Center,

I do hereby assume full responsibility for any and all damages, injuries or losses that I may

sustain or incur while attending or participating in any Facility exercise program, sport or

physical activity. For allowing me to use the Facility I agree, to the fullest extent permitted by

law, as follows:

1. To waive all claims that I have or may have against Concord Sports Center, LLC, its

members, managers, employees, agents, servants, and volunteers arising out of my use of the

Facility.

2. To release Concord Sports Center, LLC, its members, managers, employees, agents,

servants, and volunteers from all liability for any loss, damage, injury or expense that I (or my

child(ren)/ward(s)) may suffer, arising out of my use of the Facility, from any cause whatsoever,

including negligence or breach of contract on the part of Concord Sports Center, LLC, its

members, managers, employees, agents, servants, and volunteers in the operation,

supervision, design or maintenance of the Facility.

Assumption of Risk

I am aware that there are certain inherent risks, dangers and hazards associated with engaging

in physical activities that can result in serious personal injury or death. As such, I hereby freely

agree to assume and accept any and all known and unknown risks of injury associated with any

use of the Facility. I further recognize and acknowledge that the risks inherent in engaging in

physical activities can be greatly reduced by seeking instruction from a trained professional,

consulting with my physician, using common sense and following the Rules and Regulations of

the Facility. I certify that I am in good physical condition and have no known disabilities that

might be detrimental to my health or well-being.

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY

SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING

THE RIGHT TO SUE.

Parent or Guardian must sign if the participant is UNDER 18.

Participant Signature: ______Date:______

Parent/Guardian Signature: ______Date:______

Street Address:______Town:______Zip:______

Telephone: ______e-mail: ______